MANAJEMEN INFERTILITAS

MANAJEMEN INFERTILITAS DASAR Irwan T Rachman Divisi Fetomaternal – Bagian Obgyn RSUP Dr. Sardjito/FK UGM

PENDAHULUAN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PENDAHULUAN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DEFINISI (WHO) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Syarat Fertil ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DISTRIBUSI BERDASAR WAKTU & USIA Sumber : The FIGO Manual of Human Rproduction

ETIOLOGI & FAKTOR YANG BERPENGARUH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PENYEBAB INFERTILITAS SUAMI Sumber : The FIGO Manual of Human Reproduction 5 Kwalitas sperma tidak baik 5 10 Kegagalan testikuler 4 15 Epididimiditis 3 20 Varicocele 2 50 Tidak diketahui 1 Frekuensi (%) Penyebab N0.

PENYEBAB INFERTILITAS ISTRI Sumber : The FIGO Manual of Human Reproduction 10 Gangguan hormonal 5 15 Masalah serviks 4 20 Tidak diketahui 3 25 Gangguan ovulasi 2 30 Oklusi tuba 1 Frekuensi (%) Penyebab N0.

PENGELOLAAN INFERTILITAS ( Merupakan pengelolaan pasangan)

PEMERIKSAAN SUAMI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PEMERIKSAAN SUAMI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PEMERIKSAAN SUAMI ,[object Object],[object Object],[object Object]

Nomenklatur (Eliasson et.al) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

NILAI NORMAL (WHO) Angka ini hanya sebagai patokan, ada beberapa parameter yang harus dipertimbangkan < 10 % ,[object Object],< 25 % ,[object Object],< 1 juta / ml ,[object Object],> 30 % normal ,[object Object],> 50 % gerak lurus / > 25 % cepat lurus ,[object Object],> 20 juta /ml ,[object Object],> 2 ml ,[object Object]

CAIRAN SEMEN EJAKULAT Fruktosa (rendah curiga sumbatan) Biokimia < 15 menit Likuifaksi < 2 cm Kekentalan 7,2 – 7,8 pH putih keruh Warna > 2 ml Volume

PEMERIKSAAN SUAMI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SISTEM REPRODUKSI PRIA & Organ yang berpengaruh

PEMERIKSAAN ISTRI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PEMERIKSAAN ISTRI ,[object Object],[object Object],[object Object],[object Object],[object Object]

PEMERIKSAAN ISTRI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PEMERIKSAAN ISTRI ,[object Object],[object Object],[object Object],[object Object]

SISTEM REPRODUKSI WANITA & Organ yang berpengaruh

Tes lendir serviks Fern  daun pakis

LAPAROSKOPI & FOTO HSG Lesi endometriosis Adesiolisis FOTO HSG

FERTILISASI  SATU SPERMATOZOA

DIAGNOSTIK SUAMI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DIAGNOSTIK ISTRI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

KEBERHASILAN TERGANTUNG ,[object Object],[object Object],[object Object],[object Object],[object Object]

MANAJEMEN INFERTILITAS

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MANAJEMEN INFERTILITAS